Active NPI
Upmc Western Maryland Corporation
- Home Health Agency
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HH7031
- Legal business name
- UPMC WESTERN MARYLAND CORPORATION
- Practice address
- 12501 Willowbrook Rd FL 3
Cumberland, MD 21502-2506 - Phone
- (240) 964-9100
- Fax
- (240) 964-9101
- NPI assigned
- Apr 28, 2006
- Organization subpart
- Yes
- Parent organization
- UPMC WESTERN MARYLAND CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber R Ruble
- Title
- Sr. VP Cfo
- Phone
- (240) 964-8032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HH7031 | MD | Primary |
Addresses
Primary practice location
12501 Willowbrook Rd FL 3
Cumberland, MD 21502-2506
Mailing address
12501 Willowbrook Rd FL 3
Cumberland, MD 21502-2506
Phone (240) 964-9100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229113 | Other | ALLIANCE MAMSI MDIPA OPCH | |
| 59010101 | Other | MD | BLUE CROSS |
| MB5 | Other | MD | BLUE CHOICE FEDERAL |
| SA7 | Other | BLUE CHOICE FED | |
| 0001768001 | Medicaid | WV | |
| 000463400 | Medicaid | MD |
Other names 2
- UPMC Western Maryland
- Western Maryland Health System Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091116000333 | MD | Part A Provider - Home Health Agency | 7113900655 | Practice locations: Cumberland, MD |
Home health agency certification: CCN 217031
- Legal name
- UPMC WESTERN MARYLAND CORPORATION
- Doing business as
- UPMC WESTERN MARYLAND
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1969
- Last certification
- Oct 19, 2012
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- Mar 4, 1905 in MD
- Enrollment address
- 12501 Willowbrook Rd
FL 3
Cumberland, MD 21502-2506
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cumberland, MD
- NPI 1174667802
7113900655
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
7113900655
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
7113900655
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Upmc Western Maryland
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Jul 1, 1969
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Memorial Hospital
- Part of
- Steon Medical Practice
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Cumberland, MD
- NPI 1003936725
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1376688978
-
- Occupational Medicine Clinic/Center
- Cumberland, MD
- NPI 1174713747
-
- Surgery Physician
- Cumberland, MD
- NPI 1295829315
-
- Trauma Surgery Physician
- Cumberland, MD
- NPI 1700970829
-
- Physiological Laboratory
- Cumberland, MD
- NPI 1790829430
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cumberland, MD
- NPI 1174667802
-
- Inpatient Hospice
- Cumberland, MD
- NPI 1457317455
Locations
1050 W Industrial Blvd
Ste 19
Cumberland, MD 21502
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Keith Funkhouser | Corporate Officer | Feb 1, 2025 | |
| Corporate Director | May 24, 2014 | ||
| John Pappas | Corporate Director | Jan 1, 2016 | |
| Richard John Wadas | Corporate Director | Feb 1, 2025 | |
| Brian Kurtz | Corporate Director | Feb 1, 2025 | |
| Kim Leonard | Corporate Officer | Feb 1, 2025 | |
| Corporate Director | Jul 27, 2018 | ||
| Amber Ruble | Corporate Officer | Jun 26, 2021 | |
| David Landon Burwell | Corporate Director | Feb 1, 2020 | |
| Jonathan Hutcherson | Corporate Officer | Feb 1, 2025 | |
| Corporate Director | Jul 1, 2016 | ||
| David P Gibbons | Corporate Director | Feb 1, 2025 | |
| Mary Anne Jenkins | Corporate Director | Dec 12, 2013 | |
| Parika Andreassen | Corporate Director | Feb 1, 2025 | |
| Upmc | 5% Or Greater Direct Ownership Interest | Feb 1, 2020 | 100% |
| Michele Martz | Corporate Officer | Feb 1, 2025 | |
| W-2 Managing Employee | Mar 26, 2021 | ||
| Timi Hadra | Corporate Director | Feb 1, 2025 | |
| Eileen Simmons | Corporate Director | Feb 1, 2020 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Vascular & Interventional Radiology Physician
- Cumberland, MD
- NPI 1952340598
Corporate Director
-
- Family Medicine Physician
- Duncansville, PA
- NPI 1659329043
Corporate Director
Facilities with the same owner 63
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Medicare Defined Swing Bed Hospital Unit
- Coudersport, PA
- NPI 1487616470
Upmc
Practitioners & affiliated clinicians
Affiliated clinicians 51
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Frostburg, MD
- NPI 1104476274
Home health agency
-
- General Practice Physician
- Cumberland, MD
- NPI 1659494110
Home health agency
-
- Primary Care Nurse Practitioner
- Frostburg, MD
- NPI 1811957202
Home health agency
-
- Adult Health Nurse Practitioner
- Cumberland, MD
- NPI 1093769127
Home health agency
-
- Family Nurse Practitioner
- Lavale, MD
- NPI 1356017008
Home health agency
-
- Family Medicine Physician
- Cumberland, MD
- NPI 1396273520
Home health agency
-
- Family Medicine Physician
- Oakland, MD
- NPI 1326401902
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1821055393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 WILLOWBROOK RD FL 3",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022506",
"telephone_number": "240-964-9100",
"fax_number": "240-964-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 WILLOWBROOK RD FL 3",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022506",
"telephone_number": "240-964-9100",
"fax_number": "240-964-9101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC WESTERN MARYLAND CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UPMC WESTERN MARYLAND CORPORATION",
"enumeration_date": "2006-04-28",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "RUBLE",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SR. VP CFO",
"authorized_official_telephone_number": "240-964-8032"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "HH7031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE MAMSI MDIPA OPCH",
"identifier": "229113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "59010101",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE FEDERAL",
"identifier": "MB5",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE FED",
"identifier": "SA7",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001768001",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000463400",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UPMC Western Maryland",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Western Maryland Health System Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Western Maryland Health System Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cumberland, MD
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Corporation
- Upmc Western Maryland Health Services , LLC
- Upmc Western Maryland Health Services, LLC
- Upmc Western Maryland Health Services, LLC
- Upmc Western Maryland Health Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.